Juan Carlos Rodriguez Jr.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

977214 Issued in TX

Practice address

345 Lorenaly Dr
Brownsville, TX 78526-4333

Phone

(956) 545-0646

NPI assigned

Nov 23, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

JNC Behavioral Services, P.a.Group PAC ID 9931379245, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JNC Behavioral Services, P.a.

  • Psychiatry Physician
  • Harlingen, TX
  • NPI 1639460207
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Valley Healthcare System, L.P.

  • General Acute Care Hospital
  • Brownsville, TX
  • NPI 1043267701
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1003526559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 LORENALY DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 LORENALY DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264333",
            "telephone_number": "956-545-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "977214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Eryk Rodriguez
• Jesus Rodriguez
• Jose M Rodriguez Jr.
• Jose Mario Rodriguez
• Carlos C Rodriguez, Jr, LPT, CHT
• Juan F. Rodriguez, M.D.
• Julissa Rodriguez
• Karmin Yadid Rodriguez
• Keely Rodriguez, LPC
• Laura C Rodriguez

• Psychiatric/Mental Health Nurse Practitioner in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.